Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.37 / $106.67 / $138.38	Professional		$58.37	$106.67	$138.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $135.29 / $142.40	Professional		$103.90	$135.29	$142.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.22 / $106.52 / $112.79	Professional		$85.22	$106.52	$112.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $76.19 / $86.63	Professional		$69.84	$76.19	$86.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $126.35 / $252.57	Professional		$67.08	$126.35	$252.57
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $119.49 / $135.41 / $163.76	Professional		$119.49	$135.41	$163.76
United Facility/Professional Professional Modifier Low / Median / High Price $76.38 / $107.83 / $199.77	Professional		$76.38	$107.83	$199.77